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North Chicago Chamber of Commerce
34
COMPANY NAME:
ADDRESS:
CITY: STATE: ZIP:
TYPE OF BUSINESS OR ORGANIZATION: (Please check one)
[ ]
NUMBER OF EMPLOYEES:
CONTACT INFORMATION: (List information as you want it printed in a directory)
Name:
Title:
Phone:
Fax:
E-Mail:
Website:
BRIEF STATEMENT ABOUT YOUR BUSINESS TO INCLUDE IN DIRECTORY:
Number
of
1 - 10
11
- 50
51
- 125
126
- 200
2 1
E
mployees
0 Employees and over
MeMbership ApplicAtion
April 1, 2011 thru MArch 31, 2012
AMOUNT DUE BASED ON NUMBER OF EMPLOYEES $
Please send in the following aPPlication with a check
made out to the
North Chicago Chamber of Commerce
P.O. Box 554
North Chicago, IL 60064
Dues
$ 75
$100
$ 175
$ 300
$ 500
northchicagochamber.org | 847-785-1912 | info@northchicagochamber.org